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Quality of Life Research

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Open Access 01-02-2020 | Care

Development of a tool to assess oral health-related quality of life in patients hospitalised in critical care

Authors: Federico Moreno Sancho, Georgios Tsakos, David Brealey, David Boniface, Ian Needleman

Published in: Quality of Life Research | Issue 2/2020

Abstract

Aims and objectives

Oral health deteriorates following hospitalisation in critical care units (CCU) but there are no validated measures to assess effects on oral health-related quality of life (OHQoL). The objectives of this study were (i) to develop a tool (CCU-OHQoL) to assess OHQoL amongst patients admitted to CCU, (ii) to collect data to analyse the validity, reliability and acceptability of the CCU-OHQoL tool and (iii) to investigate patient-reported outcome measures of OHQoL in patients hospitalised in a CCU.

Methods

The project included three phases: (1) the development of an initial questionnaire informed by a literature review and expert panel, (2) testing of the tool in CCU (n = 18) followed by semi-structured interviews to assess acceptability, face and content validity and (3) final tool modification and testing of CCU-OHQoL questionnaire to assess validity and reliability.

Results

The CCU-OHQoL showed good face and content validity and was quick to administer. Cronbach’s alpha was 0.72 suggesting good internal consistency. For construct validity, the CCU-OHQoL was strongly and significantly correlated (correlation coefficients 0.71, 0.62 and 0.77, p < 0.01) with global OHQoL items. In the validation study, 37.8% of the participants reported a deterioration in self-reported oral health after CCU admission. Finally, 26.9% and 31% of the participants reported considerable negative impacts of oral health in their life overall and quality of life, respectively.

Conclusions

The new CCU-OHQoL tool may be of use in the assessment of oral health-related quality of life in CCU patients. Deterioration of OHQoL seems to be common in CCU patients.

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Oeyen, S. G., Vandijck, D. M., Benoit, D. D., Annemans, L., & Decruyenaere, J. M. (2010). Quality of life after intensive care: a systematic review of the literature. Critical Care Medicine,38, 2386–2400.CrossRef

Locker, D., & Gibson, B. (2006). The concept of positive health: a review and commentary on its application in oral health research. Community Dentistry and Oral Epidemiology,34, 161–173.CrossRef

Montero, J., Bravo, M., Hernández, L. A., & Dib, A. (2009). Effect of arch length on the functional well-being of dentate adults. Journal of Oral Rehabilitation,36, 338–345.CrossRef

Montero, J., López, J. F., Galindo, M. P., Vicente, P., & Bravo, M. (2009). Impact of prosthodontic status on oral wellbeing: a cross-sectional cohort study. Journal of Oral Rehabilitation,36, 592–600.CrossRef

Zheng, J., Wong, M. C., & Lam, C. L. (2011). Key factors associated with oral health-related quality of life (OHRQOL) in Hong Kong Chinese adults with orofacial pain. Journal of Dentistry,39, 564–571.CrossRef

Berger, T. D., Kenny, D. J., Casas, M. J., Barrett, E., & Lawrence, H. P. (2009). Effects of severe dentoalveolar trauma on the quality-of-life of children and parents. Dental Traumatology,25, 462–469.CrossRef

Liu, P., McGrath, C., & Cheung, G. S. (2012). Quality of life and psychological well-being among endodontic patients: a case-control study. Australian Dental Journal,57, 493–497.CrossRef

Needleman, I., McGrath, C., Floyd, P., & Biddle, A. (2004). Impact of oral health on the life quality of periodontal patients. Journal of Clinical Periodontology,31, 454–457.CrossRef

Terezakis, E., Needleman, I., Kumar, N., Moles, D., & Agudo, E. (2011). The impact of hospitalization on oral health: a systematic review. Journal of Clinical Periodontology,38, 628–636.CrossRef

10.

Needleman, I., Hyun-Ryu, J., Brealey, D., Sachdev, M., Moskal-Fitzpatrick, D., Bercades, G., et al. (2012). The impact of hospitalization on dental plaque accumulation: an observational study. Journal of Clinical Periodontology,39, 1011–1016.CrossRef

11.

Chan, E. Y., Ruest, A., Meade, M. O., & Cook, D. J. (2007). Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis. BMJ,334, 889.CrossRef

12.

Fiske, J., Griffiths, J., Jamieson, R., Manger, D., & British Society for Disability and Oral Health Working Group. (2000). Guidelines for oral health care for long-stay patients and residents. Gerodontology,17, 55–64.CrossRef

13.

Guyatt, G. H., Bombardier, C., & Tugwell, P. X. (1986). Measuring disease-specific quality of life in clinical trials. CMAJ,134, 889–895.PubMedPubMedCentral

14.

Locker, D., & Allen, F. (2007). What do measures of ‘oral health-related quality of life’ measure? Community Dentistry and Oral Epidemiology,35, 401–411.CrossRef

15.

Graesser, A. C., Wiemer-hastings, K., Kreuz, R., Wiemer-Hastings, P., & Marquis, K. (2000). QUAID: a questionnaire evaluation aid for survey methodologists. Behavior Research Methods, Instruments & Computers.,32, 254.CrossRef

16.

Stewart, A. L., Hays, R. D., & Ware, J. E. (1992). Methods of constructing health measures. In J. E. Ware (Ed.), Measuring functioning and well-being. The medical outcomes study approach. Durham: Duke University Press.CrossRef

17.

Locker, D., & Quiñonez, C. (2011). To what extent do oral disorders compromise the quality of life? Community Dentistry and Oral Epidemiology,39, 3–11.CrossRef

18.

Slade, G. D., Nuttall, N., Sanders, A. E., Steele, J. G., Allen, P. F., & Lahti, S. (2005). Impacts of oral disorders in the United Kingdom and Australia. British Dental Journal,198, 489–493.CrossRef

19.

Streiner, D. L., & Norman, G. R. (2008). Health measurement scales: a practical guide to their development and use (2nd ed.). Oxford: Oxford University Press.CrossRef

20.

Tsakos, G., Allen, P. F., Steele, J. G., & Locker, D. (2012). Interpreting oral health-related quality of life data. Community Dentistry and Oral Epidemiology,40(3), 193–200.CrossRef

21.

Munro, C. L., Grap, M. J., Elswick, R. K., Jr., McKinney, J., Sessler, C. N., & Hummel, R. S. (2006). Oral health status and development of ventilator-associated pneumonia: a descriptive study. American Journal of Critical Care,15, 453–460.PubMed

22.

Yu, D. S., Lee, D. T., Hong, A. W., Lau, T. Y., & Leung, E. M. (2008). Impact of oral health status on oral health-related quality of life in Chinese hospitalised geriatric patients. Quality of Life Research,17, 397–405.CrossRef

23.

Schimmel, M., Leemann, B., Christou, P., Kiliaridis, S., Schnider, A., Herrmann, F. R., et al. (2011). Oral health-related quality of life in hospitalised stroke patients. Gerodontology,28, 3–11.CrossRef

24.

Cornejo, M., Pérez, G., de Lima, K. C., Casals-Peidro, E., & Borrell, C. (2013). Oral health-related quality of life in institutionalized elderly in Barcelona (Spain). Medicina Oral Patologia Oral y Cirugia Bucal,18, 285–292.CrossRef

25.

Locker, D., & Allen, P. F. (2002). Developing short-form measures of oral health-related quality of life. Journal of Public Health Dentistry,62, 13–20.CrossRef

26.

Sachdev, M., Ready, D., Brealey, D., Hyun-Ryu, J., Bercades, G., Nagle, J., et al. (2012). Changes in dental plaque following hospitalisation in a critical care unit: an observational study. Critical Care,17, R189.CrossRef

27.

Guyatt, G., Walter, S., & Norman, G. (1987). Measuring change over time: assessing the usefulness of evaluative instruments. Journal of Chronic Diseases,40, 171–178.CrossRef

28.

Sischo, L., & Broder, H. L. (2011). Oral health-related quality of life: what, why, how, and future implications. Journal of Dental Research,90, 1264–1270.CrossRef

Title: Development of a tool to assess oral health-related quality of life in patients hospitalised in critical care
Authors: Federico Moreno Sancho
Georgios Tsakos
David Brealey
David Boniface
Ian Needleman
Publication date: 01-02-2020
Publisher: Springer International Publishing
Keyword: Care
Published in: Quality of Life Research / Issue 2/2020
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-019-02335-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Development of a tool to assess oral health-related quality of life in patients hospitalised in critical care

Abstract

Aims and objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aims and objectives

Methods

Results

Conclusions

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